21St Century Dental of Canarsie

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

040328 Issued in NY

Legal business name

21ST CENTURY DENTAL OF CANARSIE

Practice address

9715 Avenue L
Second Floor
Brooklyn, NY 11236-4431

Phone

(718) 241-1203

Fax

(212) 220-0202

NPI assigned

Aug 13, 2014

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel E Wank, DDS

Title

Dentist

Phone

(718) 241-1203

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1316356520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 AVENUE L",
            "address_2": "SECOND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364431",
            "telephone_number": "718-241-1203",
            "fax_number": "212-220-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 AVENUE L",
            "address_2": "SECOND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364431",
            "telephone_number": "718-241-1203",
            "fax_number": "212-220-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY DENTAL OF CANARSIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "WANK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-241-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "040328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 21 Ave Pharmacy & Medical Supply Inc.
• 21 Ave Pharmacy & Medical Supply Inc.
• 2116 Kings Highway Gi PLLC
• 2196 Flatbush Pharmacy Inc.
• 21St Avenue Medical Plaza PC
• 21St Century Dentalof Flatbush
• 21St Century Family Dental P.C
• 21St Century Medical PC
• 21St Century Medical PC
• 21St Century Radiology and Imaging, PC

• Dental Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.